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<p class="p_Heading1"><span class="f_Heading1">HIV Care Static Form: Laboratory</span></p>
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<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" bgcolor="#c0c0c0" style="width:171px; height:25px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Form Label</span></p>
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<td valign="top" width="87" bgcolor="#c0c0c0" style="width:87px; height:25px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Field Name</span></p>
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<td valign="top" width="156" bgcolor="#c0c0c0" style="width:156px; height:25px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Business Rule</span></p>
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<td valign="top" width="65" bgcolor="#c0c0c0" style="width:65px; height:25px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Required for Saving</span></p>
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<td valign="top" width="64" bgcolor="#c0c0c0" style="width:64px; height:25px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Minimum Reporting</span></p>
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<td valign="top" width="62" bgcolor="#c0c0c0" style="width:62px; height:25px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Minimum Clinical</span></p>
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<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">First Name</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Patient </span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">FirstName</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto fill</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Last Name</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Patient </span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">LastName</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto fill</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ID - Country</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Facility</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">CountryID</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto fill</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ID - POS#</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Facility</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">LocationID</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto fill</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ID - Satellite #</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Facility</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">satelliteID</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto fill</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ID - Patient Enrollment Number</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Patient </span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">PatientEnrollmentID</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto fill</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Existing Hosp/Clinic #</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Patient </span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">PatientClinicID</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto fill</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Preclinic labs</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Labs to be done on</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:36px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Period Done</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:36px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:36px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td colspan="3" valign="top" width="156" style="width:156px; height:36px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">During pregnancy, during labor, During birth, post natal</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:36px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td colspan="2" valign="top" width="171" bgcolor="#00ccff" style="width:171px; height:12px; background-color:#00ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ARV Related labs (AIDSRelief to provide)</span></p>
</td>
<td valign="top" width="87" bgcolor="#00ccff" style="width:87px; height:12px; background-color:#00ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="156" bgcolor="#00ccff" style="width:156px; height:12px; background-color:#00ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" bgcolor="#00ccff" style="width:65px; height:12px; background-color:#00ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" bgcolor="#00ccff" style="width:64px; height:12px; background-color:#00ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" bgcolor="#00ccff" style="width:62px; height:12px; background-color:#00ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">HIV Serology/HIV Rapid Test</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">PCR</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Positive, Negative</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">CD4</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">CD4 Percent</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">RPR/VDLR</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">FTA</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Viral Load</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Viral Load undetectable</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Store Plasma</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">HCT</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Hb</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">WBC</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">WBC Diff (next 8 fields)</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Neut</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Neut%</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Lymph</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Lymph%</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Mono</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Mono%</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Eosin</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Eosin%</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Platelets</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">AST/SGOT</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ALT/SGPT</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Creatinine</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Amylase</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Pregnancy</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Malaria parasite</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Serum Crypto. Ag</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Sputum AFB1</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Sputum AFB2</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Sputum AFB3</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Sputum Gram Stain</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Testresults1</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Stool O/P</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Stool Description</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Urinalysis (next 11 fields)</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Spec Grav</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Glucose</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Ketone</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Protein</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Leuk Est</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Nitrate</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Blood</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Urine Microscopic Blood</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Urine Microscopic WBC</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Urine Microscopic Bact</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Urine Microscopic Casts</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Urine Culture/Sensitivity</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Testresults1</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">CSF Cryptococcal Ag</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Testresults1</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">CSF India Ink</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">CSF Gram Stain</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">CSF Culture</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">CSF Biochemistry Glucose</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Cell count Rbcs</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Cell count WBCs</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Cell count Neutrophils</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Cell count Lymphocytes</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Protein</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Chest X-Ray Result</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Testresults1</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td colspan="2" valign="top" width="171" bgcolor="#00ccff" style="width:171px; height:12px; background-color:#00ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional labs (check if AIDSRelief is to provide for test)</span></p>
</td>
<td valign="top" width="87" bgcolor="#00ccff" style="width:87px; height:12px; background-color:#00ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="156" bgcolor="#00ccff" style="width:156px; height:12px; background-color:#00ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" bgcolor="#00ccff" style="width:65px; height:12px; background-color:#00ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" bgcolor="#00ccff" style="width:64px; height:12px; background-color:#00ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" bgcolor="#00ccff" style="width:62px; height:12px; background-color:#00ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab1 Type</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_LabType</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">LabTypeName</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">List has been verified by IHV</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab1 Result</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Testresults1</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab1 Financed</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Financed</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab2 Type</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_LabType</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">LabTypeName</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab2 Result</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Testresults1</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab2 Financed</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Financed</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab3 Type</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_LabType</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">LabTypeName</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab3 Result</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Testresults1</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab3 Financed</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Financed</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab4 Type</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_LabType</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">LabTypeName</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab4 Result</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Testresults1</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab4 Financed</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Financed</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab5 Type</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_LabType</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">LabTypeName</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab5 Result</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Testresults1</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Additional Lab5 Financed</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Financed</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Ordered by</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ord_PatientLabOrder </span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">OrderedbyName</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Ordered by Date</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ord_PatientLabOrder </span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">OrderedbyDate</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Reported by</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ord_PatientLabOrder </span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">ReportedbyName</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Reported by Date</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ord_PatientLabOrder </span></p>
</td>
<td valign="top" width="87" style="width:87px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">ReportedbyDate</span></p>
</td>
<td valign="top" width="156" style="width:156px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="65" style="width:65px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="64" style="width:64px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="62" style="width:62px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="171" style="width:171px; height:62px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Print</span></p>
</td>
<td valign="top" width="171" style="width:171px; height:62px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="87" style="width:87px; height:62px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Print</span></p>
</td>
<td colspan="4" valign="top" width="156" style="width:156px; height:62px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">This button is used to take hard copy of the form. This is basically feature of paperless, but is implemented for non paperless too</span></p>
</td>
</tr>
</table>
</div>
<p>&nbsp;</p>
<div style="text-align: left; text-indent: 0px; padding: 0px 0px 0px 0px; margin: 0px 0px 0px 10px;"><table width="832" cellspacing="0" cellpadding="4" border="0" style="border: none; border-spacing:0px; border-collapse: collapse;">
<tr style="text-align:left;vertical-align:top;">
<td colspan="3" valign="top" width="436" bgcolor="#c0c0c0" style="width:436px; height:17px; background-color:#c0c0c0; border: solid 1px #000000;"><p><span style="font-weight: bold;">Laboratory Results Form Business Rules</span></p>
</td>
<td valign="top" width="85" bgcolor="#c0c0c0" style="width:85px; height:17px; background-color:#c0c0c0; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" bgcolor="#c0c0c0" style="width:55px; height:17px; background-color:#c0c0c0; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" bgcolor="#c0c0c0" style="width:59px; height:17px; background-color:#c0c0c0; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" bgcolor="#c0c0c0" style="width:58px; height:17px; background-color:#c0c0c0; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" bgcolor="#c0c0c0" style="width:55px; height:17px; background-color:#c0c0c0; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><br>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><br>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" bgcolor="#c0c0c0" style="width:18px; height:30px; background-color:#c0c0c0; border: solid 1px #000000;"><p>Form No.</p>
</td>
<td valign="top" width="277" bgcolor="#c0c0c0" style="width:277px; height:30px; background-color:#c0c0c0; border: solid 1px #000000;"><p>Form Label</p>
</td>
<td valign="top" width="112" bgcolor="#c0c0c0" style="width:112px; height:30px; background-color:#c0c0c0; border: solid 1px #000000;"><p>Database Table</p>
</td>
<td valign="top" width="85" bgcolor="#c0c0c0" style="width:85px; height:30px; background-color:#c0c0c0; border: solid 1px #000000;"><p>Field Name</p>
</td>
<td valign="top" width="55" bgcolor="#c0c0c0" style="width:55px; height:30px; background-color:#c0c0c0; border: solid 1px #000000;"><p>Business Rule</p>
</td>
<td valign="top" width="59" bgcolor="#c0c0c0" style="width:59px; height:30px; background-color:#c0c0c0; border: solid 1px #000000;"><p>Required for Saving</p>
</td>
<td valign="top" width="58" bgcolor="#c0c0c0" style="width:58px; height:30px; background-color:#c0c0c0; border: solid 1px #000000;"><p>Minimum Reporting</p>
</td>
<td valign="top" width="55" bgcolor="#c0c0c0" style="width:55px; height:30px; background-color:#c0c0c0; border: solid 1px #000000;"><p>Minimum Clinical</p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>First Name</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>mst_Patient </p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>FirstName</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p>Auto fill</p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Last Name</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>mst_Patient </p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>LastName</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p>Auto fill</p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>ID - Country</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>mst_Facility</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>CountryID</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p>Auto fill</p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>ID - POS#</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>mst_Facility</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>LocationID</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p>Auto fill</p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>ID - Satellite #</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>mst_Facility</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>satelliteID</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p>Auto fill</p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>ID - Patient Enrollment Number</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>mst_Patient </p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>PatientEnrollmentID</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p>Auto fill</p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Existing Hosp/Clinic #</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>mst_Patient </p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>PatientClinicID</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p>Auto fill</p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p>1</p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Preclinic labs</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p>2</p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Labs to be done on</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" bgcolor="#00ccff" style="width:18px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p>3</p>
</td>
<td valign="top" width="277" bgcolor="#00ccff" style="width:277px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p>ARV Related labs (AIDSRelief to provide)</p>
</td>
<td valign="top" width="112" bgcolor="#00ccff" style="width:112px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="85" bgcolor="#00ccff" style="width:85px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" bgcolor="#00ccff" style="width:55px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" bgcolor="#00ccff" style="width:59px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" bgcolor="#00ccff" style="width:58px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" bgcolor="#00ccff" style="width:55px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>HIV Serology</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>CD4</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>CD4 Percent</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Viral Load</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Viral Load undetectable</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Store Plasma</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>HCT</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Hb</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>WBC</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>WBC Diff (next 8 fields)</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Neut</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Neut%</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Lymph</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Lymph%</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Mono</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Mono%</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Eosin</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Eosin%</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Platelets</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>AST/SGOT</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>ALT/SGPT</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Creatinine</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Amylase</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Pregnancy</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Malaria parasite</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Serum Crypto. Ag</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Sputum AFB1</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Sputum AFB2</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Sputum AFB3</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Sputum Gram Stain</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Testresults1</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Stool O/P</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Stool Description</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Urinalysis (next 11 fields)</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Spec Grav</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Glucose</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Ketone</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Protein</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Leuk Est</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Nitrate</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Blood</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Urine Microscopic Blood</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Urine Microscopic WBC</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Urine Microscopic Bact</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Urine Microscopic Casts</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Urine Culture/Sensitivity</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Testresults1</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>CSF Cryptococcal Ag</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Testresults1</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>CSF India Ink</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>CSF Gram Stain</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>CSF Culture</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>CSF Biochemistry Glucose</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Cell count Rbcs</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Cell count WBCs</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Cell count Neutrophils</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Cell count Lymphocytes</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Protein</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>TestResults</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Chest X-Ray Result</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Testresults1</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" bgcolor="#00ccff" style="width:18px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p>4</p>
</td>
<td valign="top" width="277" bgcolor="#00ccff" style="width:277px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p>Additional labs (check if AIDSRelief is to provide for test)</p>
</td>
<td valign="top" width="112" bgcolor="#00ccff" style="width:112px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="85" bgcolor="#00ccff" style="width:85px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" bgcolor="#00ccff" style="width:55px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" bgcolor="#00ccff" style="width:59px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" bgcolor="#00ccff" style="width:58px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" bgcolor="#00ccff" style="width:55px; height:15px; background-color:#00ccff; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:30px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:30px; border: solid 1px #000000;"><p>Additional Lab1 Type</p>
</td>
<td valign="top" width="112" style="width:112px; height:30px; border: solid 1px #000000;"><p>mst_LabType</p>
</td>
<td valign="top" width="85" style="width:85px; height:30px; border: solid 1px #000000;"><p>LabTypeName</p>
</td>
<td valign="top" width="55" style="width:55px; height:30px; border: solid 1px #000000;"><p>List has been verified by IHV</p>
</td>
<td valign="top" width="59" style="width:59px; height:30px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:30px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:30px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab1 Result</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Testresults1</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab1 Financed</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="bottom" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Financed</p>
</td>
<td valign="bottom" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab2 Type</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>mst_LabType</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>LabTypeName</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab2 Result</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Testresults1</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab2 Financed</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="bottom" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Financed</p>
</td>
<td valign="bottom" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab3 Type</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>mst_LabType</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>LabTypeName</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab3 Result</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Testresults1</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab3 Financed</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="bottom" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Financed</p>
</td>
<td valign="bottom" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab4 Type</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>mst_LabType</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>LabTypeName</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab4 Result</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Testresults1</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab4 Financed</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="bottom" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Financed</p>
</td>
<td valign="bottom" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab5 Type</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>mst_LabType</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>LabTypeName</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab5 Result</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Testresults1</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Additional Lab5 Financed</p>
</td>
<td valign="top" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>dtl_PatientLabResult</p>
</td>
<td valign="bottom" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>Financed</p>
</td>
<td valign="bottom" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Ordered by</p>
</td>
<td valign="bottom" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>ord_PatientLabOrder </p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>OrderedbyName</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Ordered by Date</p>
</td>
<td valign="bottom" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>ord_PatientLabOrder </p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>OrderedbyDate</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Reported by</p>
</td>
<td valign="bottom" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>ord_PatientLabOrder </p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>ReportedbyName</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p>Yes</p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="277" style="width:277px; height:15px; border: solid 1px #000000;"><p>Reported by Date</p>
</td>
<td valign="bottom" width="112" style="width:112px; height:15px; border: solid 1px #000000;"><p>ord_PatientLabOrder </p>
</td>
<td valign="top" width="85" style="width:85px; height:15px; border: solid 1px #000000;"><p>ReportedbyDate</p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="59" style="width:59px; height:15px; border: solid 1px #000000;"><p>Yes</p>
</td>
<td valign="top" width="58" style="width:58px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:15px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="18" style="width:18px; height:150px; border: solid 1px #000000;"><br>
</td>
<td valign="top" width="277" style="width:277px; height:150px; border: solid 1px #000000;"><p>Print</p>
</td>
<td valign="top" width="112" style="width:112px; height:150px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="85" style="width:85px; height:150px; border: solid 1px #000000;"><p>Print</p>
</td>
<td valign="top" width="55" style="width:55px; height:150px; border: solid 1px #000000;"><p>This button is used to take hard copy of the form. This is basically feature of paperless, but is implemented for non paperless too</p>
</td>
<td valign="top" width="59" style="width:59px; height:150px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="58" style="width:58px; height:150px; border: solid 1px #000000;"><p> </p>
</td>
<td valign="top" width="55" style="width:55px; height:150px; border: solid 1px #000000;"><p> </p>
</td>
</tr>
</table>
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